MEDICARE: MELANIE GRASSHOFF GARNER AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	80168	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	80693A	OTHER	TX	BCBS - HCAENTC
2	80694A	OTHER	TX	BCBS - AENTC

General Provider Information

NPI Number	:	1689800179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE GRASSHOFF GARNER AU.D.

Provider Business Mailing Address
First Line	:	4315 JAMES CASEY ST
Second Line	:	SUITE 300
City	:	AUSTIN
State	:	TX
Zip	:	78745-3365
Country	:	US
Telephone Number	:	512-444-7944
Fax Number	:	512-444-7946

Provider Business Practice Location Address
First Line	:	4315 JAMES CASEY ST
Second Line	:	SUITE 300
City	:	AUSTIN
State	:	TX
Zip	:	78745-3365
Country	:	US
Telephone Number	:	512-444-7944
Fax Number	:	512-444-7946

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2009
Last Update Date	:	02/25/2013

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